If you have recently been diagnosed with bipolar disorder, there are a few basics you should know. You’ll likely find them out on your own, but it might take a while.
So here are some tips to help you on your journey:
1. Being bipolar isn’t necessarily a tragedy. It’s a chronic illness. At times it’s better, at others, worse. It’s not a death sentence and it’s treatable. You can still live a full and satisfying life.
2. You will need help. To live with bipolar disorder, you need a support system. Unfortunately, your friends and family may not be all that supportive. Fortunately, there are online support groups. But the most important parts of your support system – at least at first – are your psychiatrist and your psychotherapist. I recommend having one of each. Psychiatrist for medication and therapist for talk therapy.
3. You will most likely need medication. And the odds are good you might need them for the rest of your life. Don’t panic. After all, diabetics need insulin, usually for life. You may hate taking pills. You may hate the idea of being dependent on them. You may hate the fact they remind you of your brain’s difficulty functioning. But realize meds will make your brain’s functioning less difficult. They are worth the hassle.
4. Everyone is different. Everyone’s symptoms are slightly different. Everyone’s medications are slightly different. Everyone’s reactions to their medications are slightly different. A support group can help you with general information, but it cannot tell you what is ultimately best for you. Your particular symptoms and your unique version of bipolar disorder may well require different medications in different amounts than your friends. And you may have different reactions to them. Some have no effect at all on one person, but are lifesavers for another.
5. Getting better takes time. Once you have your diagnosis and your medication, don’t expect to feel better quickly. It takes time. Then your doctor may assess how well the medication is working and change the dose or even the medication itself. Then you may go through another six weeks of waiting for the new dose or drug to take effect. Each case of bipolar disorder requires a medication regimen tailored specifically to the individual.
6. There are several different types of bipolar disorder. The two main types are called type 1 and type 2. Type 1 is the classical bipolar disorder, which used to be called manic depression. Type 2, a more recently identified version of the disorder, often manifests as mostly depression, possibly with hypomania, a less severe version of the ups that accompany bipolar 1. Other forms of bipolar disorder are rapid cycling, in which one’s mood states alter quickly, even within a few hours. Another part of bipolar disorder is called a mixed state. Mixed states occur when a person experiences both extremes of emotion at the same time – for instance, depression and irritability, or fatigue despite racing thoughts.
7. The odds are that you already know someone with bipolar disorder. One in five Americans will have a psychiatric illness in a given year. But because we don’t talk about it, sometimes no one ever knows. When bipolar disorder is treated properly, a person with the illness can maintain function in society and choose whether or not to share the diagnosis with friends and coworkers. Many people choose not to because of the stigma surrounding mental illness. It’s a valid choice, but it can cut the affected person off from possible support and understanding from others.
8. Relationships can be difficult, but are not impossible. Relationships are difficult for everyone. People with bipolar disorder have relationships that are difficult, too. The disorder may make relationships even more difficult, especially when a loved one does not understand the symptoms, medication, mood swings, anxiety, fatigue and other facets of bipolar disorder. The best cure for this is education. Sometimes it may not be possible for a relationship to survive bipolar disorder, just as a relationship may not survive trauma, grief, addiction, infertility, incompatibility, meddling relatives, infidelity, parenting or a host of other conditions. It may be better to look at all the circumstances surrounding a troubled relationship rather than automatically blame bipolar disorder for difficulties.
9. Learn all you can. Because bipolar disorder is so misunderstood by the public, because it manifests differently in nearly every case, because a person can be actively struggling or in remission, because a person may have any of the different types of bipolar disorder, because everyone is different – the need to educate yourself and probably those around you is essential. The more you know, the less you’ll panic when a symptom you haven’t experienced before suddenly hits. Rely on reputable sources. Medical, psychiatric or psychological websites are usually the best. Support groups can offer much information, but the people in a support group may not be any more well-informed than you are. And beware of people selling “miracle cures” that can lure a person away from needed medication and other services.
10. Keep trying. It’s hard. It’s frustrating. It’s difficult. It’s painful. It’s confusing. But bipolar disorder is something you can live with and even something you can rise above. The secret is to keep trying. Keep seeking out therapy and friends who support you. Keep taking your medication even if you don’t want to. (Stopping your medication without advice from your doctor can be dangerous, so please don’t try that.) Be stubborn. When you feel like giving up, tell yourself maybe things will get a little better in the morning. Hang in there. You may not realize it, but there are people who need you in the world.
Do you have any other tips for the newly diagnosed? Please share them in the comments section.
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